| Alpine Surgical Arts Llc | |
|
403 S 11th St Ste 300 Boise ID 83702-6968 | |
| (208) 344-9115 | |
| (208) 344-9113 |
| Full Name | Alpine Surgical Arts Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 S 11th St Ste 300, Boise, Idaho |
| Authorized Official Name and Position | Karen Shaw (PRACTICE MANAGER) |
| Authorized Official Contact | 2083449115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Surgical Arts Llc 403 S 11th St Ste 300 Boise ID 83702-6968 Ph: (208) 344-9115 | Alpine Surgical Arts Llc 403 S 11th St Ste 300 Boise ID 83702-6968 Ph: (208) 344-9115 |
| NPI Number | 1134789845 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 02/09/2026 |
| Medicare PECOS PAC ID | 6608205380 |
|---|---|
| Medicare Enrollment ID | O20200331003218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134789845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Arman Haghighi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124433743 PECOS PAC ID: 7618192501 Enrollment ID: I20200331003273 |
| Provider Name | Brian Rowan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710370903 PECOS PAC ID: 8022380062 Enrollment ID: I20220720002026 |
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